| NPI | 1093717498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 1045217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1045217) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-12-05 |